Critical care capacity during the COVID-19 pandemic: Global availability of intensive care beds

Critical care capacity during the COVID-19 pandemic: Global availability of intensive care beds
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DOI:
10.1016/j.jcrc.2020.04.012
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发表时间:
2020-08-01
影响因子:
3.7
通讯作者:
Vervoort, Dominique
Vervoort, Dominique
中科院分区:
医学3区
文献类型:
--
作者:
Ma, Xiya;Vervoort, Dominique

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1. 随着COVID-19大流行的发展,在世界上大多数国家和地区,对快速、创新和具有成本效益的应急机制的需求以及在重症监护能力方面存在的差距变得非常明显。在美国,一些模型预测,主要学术中心的住院能力将在几周内饱和,特别是包括其重症监护病房(ICU)的能力。此外,低收入和中等收入国家面临无法管理预计将激增的COVID-19危重患者的风险,目前的估计表明,每10万人中有0.1至2.5个ICU床位。虽然有几项研究评估了一些地区的重症监护能力,但尚未对全球ICU床位进行全面调查。目的本研究的目的包括绘制全球重症监护基础设施的可用性,重点是ICU床位的分布。
1. BackgroundAs the COVID-19 pandemic grows, the need for rapid, innovative, and cost-effective emergency response mechanisms and the presence of gaps in critical care capacity become glaringly obvious in most countries and territories worldwide. In the United States, models project that major academic centres' hospitalization capacity will be saturated within weeks, notably including their intensive care unit (ICU) capacity [1]. Furthermore, low-and middle-income countries (LMICs) are at-risk for an inability to manage an anticipated surge of critically ill COVID-19 patients, with current estimates suggesting the availability of 0.1 to 2.5 ICU beds per 100,000 population [2]. While several studies have evaluated critical care capacity in some regions, there has yet to be a comprehensive survey of ICU beds worldwide.2. ObjectiveThe objective of this study consists of mapping the global availability of critical care infrastructure with a focus on the distribution of ICU beds.